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efta-efta01480427DOJ Data Set 10Correspondence

EFTA Document EFTA01480427

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DOJ Data Set 10
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efta-efta01480427
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EFTA Disclosure
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MAR-06-2007(TUE) 16:33 P.013/013 ACCOUNT ti C. CLIeNT i EIENEFICIAL OWNER I AUTHORIZFD PARTIP‘ ThIS information mult be filled out for EACH Individual. Please uffe a separate page for 0ach Individual. Fur US Individual.. Nu documentation toquired al itecount opotting. A copy ol a drivers konas or Diller valid. govemment-isSuod parre ID may he tura fer vandtalon PUrPOSei opal rank,» of me ~unt. For Non-us IndIvIduals. and lor an Mon41.9„, Bonerlicial Ownen of PIV AcCounts: Please ansar lo lins forn a copy ol a valid, gOvornmentKisued Deltif0 ID liVideflplig nationality lor PACh Individual. The documernationmum 00 Pre 0091 lo kocoorn °Pensle- For Non-U.S. PIV Accounts: Please ottoch 1s and Signaturo Page al organdaten document ond pages showing ownership ol uw »city. For Hode* Funds, runda and Non-Prolles sen Page 6 for rmaructiord For Trading Authority Power of Attomoy i investment Advlsor only <median% I. la. 10, 18 and 19 are regulred. For Principal I Dimt« f Dekor only omsuten. 1. la. la le and 19 are rdquirod. 1. Nome of Individuel (Fint Midt», Last Nome) (or Entlty Nano) ZI1L( :? f feal pi t: Ett25"rn+IN gr‘ la. Type of Ctiontatneficial OwnorlAultionzod Party: 1-`4ZIJUltkr.74 2. Has an Account for Is Indivklualtmern cstablisInd sin»0(01103 1 7 Ø • No II Vas, list Account Numbors: 3. Date of elab: , L..) n 5. SSWrait ID Nome»Mott ( ok» for US Cilitans) 5a. If ax s not sva lebln. Pantsett NoJAIlim Reg. NO.Mtlwr Val Eforitersued ID No. 5b. Type ot ID, H not Panpott er Agen Reg. Card: 4. la the Individual a US Clthen? DNo II no. Country el attconship: 6. Home Addross: (ip i co ir-a lassalLGI4e. 6 -3 S- Trt-a 6...as • 1/4)51/45 l 6 C3933-• 7. Homo Malling Addrimis: Sloiliet{— 8. Horn* Phon* 9. 10. Principal Buslnoss Adams: 11.17 nipsl Bealnews) 12. Em Em t Status: mPieYee OSell-EmP40Yee DunemPtaYed Employees Nam.: r....... ,..Q.(77Ric _ (atti., e_ 13. Madtal Status: ir &ICLIMitmeci 13a. if marif01:1. Spinne', Occupation: Member Finn? &re Otto t i Oceupedon: RnAL~ Cartajr) (.44.44449- 4- 14. Estl Nat Wolth: (US $t ØftiM 15. Annual hitom.: (US SI la So es of Wca»: Empbyrnent Dkihwitance vostmord LJOM». 17. Seeren of Aun on Dopoelt nE ml:ga yrnent DInhericanc0 ei. .;_........,.,....-•-"" DOtNtr, Øgt: 18. Is Individual turrenn./ or fortnewly Ill Foran Politi»! Figur*, an »media romfly Member Or • Known Clou Awsoctate7 NO. Ye Please contma Compdanco Officer and Anlialonay Loundedng Draup n Vie Legal Dept. betaro conductec fl øing ~y. 19 la a Citizensnip. or Address associated with this imcount homa country included In the High Risk List? No. C YIRL Please conlad C.omptranco Odar and And-Money aundannti_Group in bo Legal Dept. »lom conducling_trading aceinly. NCVI Mel Ener, v052704 Pag') 1 of Confidential Treatment Requested by JPMorgan Chase CONFIDENTIAL JPM-SDNY-00002586 SDNY_GM_00271784 EFTA01480427

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